| NPI | 1205182375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: KY 015851) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: MO 029533) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: KS 1-14133) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |